https://doi.org/10.4081/scenario.2023.558
Tools for assessing the risk of violence in the emergency room: a narrative review of the literature
Published: 19 July 2023
Abstract Views: 1441
PDF (Italiano): 444
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Introduction: Emergency departments are high-risk workplaces for violence. To date, in Italy, interventions to prevent verbal or physical abuse against hospital staff are not yet widely or consistently implemented and, often, their effectiveness remains uncertain. The objective of this paper is to search the literature for validated tools for identifying the risk of violence in emergency rooms and to understand their effectiveness.
Materials and Methods: A literature review was conducted through consultation of the Medline, Web of Science, and Scopus databases. The research was carried out in the period September-October 2022. Studies were sought that analyzed tools for assessing the risk of violence in the emergency room, published in the last 5 years, in English and Italian.
Results: Eight studies were included in this review. The prevention tools found were structured to try to identify people at risk of violence or to assess the presence of risk factors in the care environment and in the organization of the provision of services.
Discussion: The measures of potential aggressors are, overall, moderately sensitive for predicting potentially violent patients and highly specific for predicting nonviolent patients.
Conclusions: These assessment tools have helped healthcare workers reduce the number of violent incidents and increase their awareness and safety, according to studies in this paper.
National Institute for Occupational Safety and Health (NIOSH). Violence - Occupational Hazard in Hospitals. Aprile 2002. Disponibile presso: https://www.cdc.gov/niosh/docs/2002101/default.html, ultima consultazione il 22/11/2022.
Ramacciati N, Ceccagnoli A. Violence and aggression in the emergency department: an operative approach. Scenario 2012;29:32-8.
Rossi P, Mele A, Punziano A. Consulenza statistico attuariale Inail, i dati Inail sugli episodi di violenza nei confronti degli operatori della sanità. 2020. Disponibile presso: https://www.inail.it/cs/internet/docs/alg-factsheet-violenza-professioni-sanitarie-inail-2022_6443174670061.pdf (Ultima consultazione il 18/11/2022).
Ministero della Salute. Raccomandazione per prevenire gli atti di violenza a danno degli operatori sanitari, novembre 2007. Disponibile presso: https://www.salute.gov.it/imgs/C_17_pubblicazioni_721_allegato.pdf (Ultima consultazione il 18/11/2022).
Decreto Legislativo 9 aprile 2008, n. 81. Testo Unico in materia di salute e sicurezza sul lavoro. Disponibile presso: https://www.gazzettaufficiale.it/eli/id/2008/04/30/008G0104/sg (Ultima consultazione il 18/11/2022).
Legge 14 agosto 2020, n. 113. Disposizioni in materia di sicurezza per gli esercenti le professioni sanitarie e socio-sanitarie nell'esercizio delle loro funzioni. Disponibile presso: https://www.gazzettaufficiale.it/eli/id/2020/09/09/20G00131/sg (Ultima consultazione il 18/11/2022).
Delibera 6 Agosto 2018, n. 913. Azioni di prevenzione e contrasto atti di violenza a danno degli operatori sanitari. Indirizzi alle aziende sanitarie ed agli enti del SSR. Disponibile presso: http://www301.regione.toscana.it/bancadati/atti/DettaglioAttiG.xml?codprat=2018DG00000001071 (Ultima consultazione il 18/11/2022).
Regione Emilia-Romagna. Linee di indirizzo per la prevenzione degli atti di violenza a danno degli operatori dei servizi sanitari e sociosanitari. Disponibile presso: https://salute.regione.emilia-romagna.it/assistenza-ospedaliera/sicurezza-cure/le-raccomandazioni-regionali-1/linee-di-indirizzo-prevenzione-atti-di-violenza_np.pdf/@@download/file/linee%20di%20indirizzo%20prevenzione%20atti%20d%20violenza_np.pdf (Ultima consultazione il 18/11/2022).
Regione Lombardia Legge Regionale 8 luglio 2020, n. 15. Sicurezza del personale sanitario e sociosanitario. (Ultima consultazione il 18/11/2022). Disponibile presso: https://normelombardia.consiglio.regione.lombardia.it/normelombardia/accessibile/main.aspx?view=showdoc&iddoc=lr002020070800015
Bagnasco A, Catania G, Zanini M, Alvaro R. Gli episodi di violenza rivolti agli infermieri italiani sul posto di lavoro: protocollo di studio osservazionale analitico multicentrico nazionale. Studio CEASE-IT. L’infermiere 2021;58:2:e18-e25.
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
Calow N, Lewis A, Showen S, Hall N. Literature Synthesis: Patient Aggression Risk Assessment Tools in the Emergency Department. J Emerg Nurs 2016;42:19-24.
Sharifi S, Shahoei R, Nouri B, et al. Effect of an education program, risk assessment checklist and prevention protocol on violence against emergency department nurses: A single center before and after study. Int Emerg Nurs 2020;50:100813.
Partridge B, Affleck J. Predicting aggressive patient behaviour in a hospital emergency department: An empirical study of security officers using the Brøset Violence Checklist. Australasian Emerg Care 2018;21:31-5.
Hamrick B, Van Hassel T, Snyder D, Stephens C. Screening for Behavioral Health Patient Aggression in Emergency Departments to Reduce Workplace Violence. Emerg Nurs 2022;S0099-17672200237-9.
Connor M, Armbruster M, Hurley K, et al. Diagnostic Sensitivity of the Dynamic Appraisal of Situational Aggression to Predict Violence and Aggression by Behavioral Health Patients in the Emergency Department. Emerg Nurs 2020;46:302-9.
Campbell E, Jessee D, Whitney J, et al. Development and Implementation of an Emergent Documentation Aggression Rating Tool: Quality Improvement. Emerg Nurs 2021;47:696-706.
Cabilan CJ, McRae J, Learmont B, et al. Validity and reliability of the novel three-item occupational violence patient risk assessment tool. J Adv Nurs 2022;78:1176-85.
Kim SC, Kaiser J, Bulson J, et al. Multisite study of Aggressive Behavior Risk Assessment Tool in emergency departments. J Am Coll Emerg Physicians Open 2022;3:e12693. Published online on 2022 Mar 17th.
D’Ettorre G, Caroli A, Pellicani V, Ceccarelli G. Preliminary risk assessment of workplace violence in hospital emergency departments. Ann Ig 2020;32:99-108.
How to Cite
Persiani, B., Cesari, C., Tini, V., Trapassi, S., Rosati, M., D’Ambrosio, F., & Righi, L. (2023). Tools for assessing the risk of violence in the emergency room: a narrative review of the literature. Scenario® - Il Nursing Nella Sopravvivenza, 40(2). https://doi.org/10.4081/scenario.2023.558
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Andriana Magdalinou, Athena Kalokairinou, Flora Malamateniou, John Mantas, Enhancing nurses' anti-phishing knowledge, attitude, and practices through an educational intervention and serious game , Scenario® - Il Nursing nella sopravvivenza: Vol. 40 No. 1 (2023)
- Tiziana Angela Punzi, Ivana Maria Rosi, Roberto Milos, La prevenzione ed il controllo della diarrea in persone con nutrizione enterale in area critica , Scenario® - Il Nursing nella sopravvivenza: Vol. 28 No. 4 (2011): Scenario 4: 2011
- Silvia Scelsi, Guglielmo Imbriaco, Stefano Bambi, Fabrizio Moggia, Gaetano Romigi, Valter Favero, Simona Saddi, Francesco D'Ambrosio, Pasquale Iozzo, Alberto Lucchini, Tiziana Marano, Mario Madeo, Davide Zanardo, Alessandro Di Risio, Vita Grazia Casesi, Gian Domenico Giusti, Nurses of critical area between recovery and resilience: can you go beyond the numbers? , Scenario® - Il Nursing nella sopravvivenza: Vol. 39 No. 1 (2022): SCENARIO 1 2022
- Samuele Baldassini Rodriguez, Yari Bardacci, Marco Bazzini, Christian Caruso, Khadija El aoufy, Stefano Bambi, Andrea Guazzini, Laura Rasero, Survey on Anxiety, Insomnia and Resilience in Health Care Personnel during the SARS CoV-2 pandemic (AIR Survey study) , Scenario® - Il Nursing nella sopravvivenza: Vol. 38 No. 1 (2021): SCENARIO 1 2021
- Elisabetta Cemmi, Stefano Terzoni, Alessia Fumagalli, Cristian Ricci, Anne Destrebecq, La Scala di Valutazione della Disabilità da Dispnea (SVDD): validazione preliminare di uno strumento infermieristico , Scenario® - Il Nursing nella sopravvivenza: Vol. 28 No. 4 (2011): Scenario 4: 2011
- Maurizio Beretta, Alessandro Popolla, Christian P. Subbe, Serena Cornelli, Marina Bolzoni, Cinzia Franca Grossi, Patrizio Capelli, Enrico Lucenti, Massimo Guasconi, Carlotta Granata, Translation and adaptation into Italian of the "Modified Early Warning Score" (MEWS) index for early recognition of clinical instability , Scenario® - Il Nursing nella sopravvivenza: Vol. 38 No. 3 (2021): SCENARIO 3 2021
- Elisa Ceciarini, Nicola Ramacciati, Management of the path for critical patients and recommendations for care management in case of infection with Sars-Cov-2: survey on the knowledge and skills of nurses in Umbria Critical Area , Scenario® - Il Nursing nella sopravvivenza: Vol. 39 No. 1 (2022): SCENARIO 1 2022
- Marianna Bosa, Maria Benetton, Annusca Franzoi, Utilizzo di farmaci per via sottocutanea nel paziente terminale. Una breve revisione , Scenario® - Il Nursing nella sopravvivenza: Vol. 37 No. 1 (2020): SCENARIO 1 2020
- Giovanni Lorenzo Scotto, Anna Bizzarri, Nursing care of the premature infant in Neonatal Intensive Care Units: between the noise of care and the quiet for development. An analysis of strategies for noise reduction and control , Scenario® - Il Nursing nella sopravvivenza: Vol. 39 No. 3 (2022): SCENARIO 3 2022
- Marco Carradore, Lucia Barucca, Margherita Bertuccioli, Federica Cancellieri, Chiara Del Prete, Alessandra Pizzi, Valentina Valenti, Gian Domenico Giusti, Interprofessional collaboration in the critical care area in Italy: nurses' perspective , Scenario® - Il Nursing nella sopravvivenza: Vol. 39 No. 2 (2022): SCENARIO 2 2022
<< < 17 18 19 20 21 22 23 24 25 26 > >>
You may also start an advanced similarity search for this article.